HomeMy WebLinkAbout50721_SIMMONS, TIM_20080611v- //-OB-/S� r �!
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❑CAMA / El DREDGE &FILL - � � � �1
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue []Partial RINatural
Date previous permit issued i
i
As authorized by the State of North Carolina, Department of Environment anurces ... r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
El Rules attached.
Applicant Name
�`
1
Address
City
- State
i' ZIP
Phone # O
Fax # O-
_
Authorized Agent
[I CW
❑ EW ❑ PTA ❑ ES
❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP_
Phone # River Basin
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Adj. Wtr. Body rt Vi_-bri t_ ,(fat/man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's 5ignature
nl�r, 3
Issuing DateExpirati n Date
Local Planning Jurisdiction Rover File Name
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑ Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rat e�
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, OnsloW -above
New River Inlet- and Pamlico Counties)
Elizabeth Elizabeth Ci�District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
04/15/2008 13:21 2526336027 COASTALMARKETING PAGE 02/02
Apr 14 08 04:46p )3cc 262-746-4253 P3
Aw A.Cvff RWARYAN )pR.OPERTY owWR STA'i FAMSIT
1 hereby certify dmt I own property 4=cnt to -r Nk
(Name of Property Owner)
�ro mr toad at %---
(Lot, Block, Road, et r-)
in - PA
CL\L�;I:i-c) CL- N.0
cw= � crom zndfor county)
He bas described to me� as sbown below, fe devetopu t be is proposing at that loc a ion,
and,1 have no objections to hs pxvposal. l undeastead &da pkdhwerin8 .
mast be set back a v&jM m distmu" of fifteen feet (151 ftm my area ofdPaxan acc= unless
waived by �me.
I de wjsh do waive the setback eegnncea =t-
1 do wish to waive firm setback requirmcnt.
I SCRO"'I'ION ANDIOR DRAWING OF PRO 1091 n DEVELOPMENT:
(Ter be filled in by pm,,wsing e+O
I
SI�AAture
or Type Name
Jr' A,
Telephone Number
,> C 3 2 Goy/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
1 hereby certify that I own property adjacent to '��:i rn s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
ram- , in 1't = c _ , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived b e.
7
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r 9'-4
hs, yr Hoek TPW'U VAL y .tom i
' 1
--- _____________-
Signature
�,o_rwd ell_
Print or Type Aame
Telephone Number
Date: % 1,2
Page 1 of 1
Site: 101 CAPE HATTERAS PT
,y- 107-93 _r
0106
.�>'� 094-1-13
3v 272,72 '
1.06A
12 _
9006 `` c-
H094-1-12
- - 402.91
1.47A
8`i910
Property Details:
START
1746 JIUNIQUEID
1708
LASTNAME
JISIMMONS, JAMES
FIRSTNAME
CAREOF
ET UX CYNTH)A A
ADDR1
I 10 CEDAR BROOK CIR
ADDR2
CITY
HOLBROOK
STATE :11MA
ZIP
02343
PARRECNUM
15654
NAME
SIMMONS. JAMES
ACCTNUM
26973
MAPNO
H094-1-12
CONTROLNUM
CLSCODE
PIN
DISTTOWN
D05
INSERT
H094
DBLCIR
BLOCK
1
PARCELNO
12
SITEADDR
101 CAPE HATTERAS PT
SITUSADDR
101
SITUSROAD
CAPE HATTERAS PT IFEXEMPT
LEGDESC1
I LOT 12 DAWSON CREEK PH 1
1.1 PCA 150-11 PCA 153-13
TOTACRES :111.06
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
160500
CRNTBLDGVA
0
CRNTOBLDGV
0
TOTCRNTVAL
11160500
FIRECODE
S
IIHOUSECODE
ISEWERCODE
SALEAMNT
330000
SALEDATE
3/14/2007
SALEDATE2
75316
SALECODE
S
ROADNUM
1302
PCTCOMP
0
WILLBOOK
0
WILLPAGE
0
JOB PG
11491/217 -IFDEEDBOOK
491
DEEDPAGE
217
PLAT
I PCA 150-11 153-13
IIMOBHOME 110
http://www2.undersys.com/scripts/testadv/usiwebpe.dll/usi?formis=ptmap&MouseX=O&... 1 /23/2008
mommmommul
BROAD CREEK CONSTRUCTION 6187
PH.252-745-4252 66-112/531
11 CREEKVIEW CT a"
MERRITT, NC 28556-9572
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BROAD CREEK CONSTRUCTION
PH. 252-745-4252 J �G
11 CREEKVIEW CT 9572
MERRITT, NC 28556-
j ggANCH BANKING AND TRUST VPANY
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66-112/531
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